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This section
will take a look at the subject of Depression. Other topics that
contain information for women can be found further down the page.
Depression
isn't
caused by personal weakness. Depression is more common a week
before a woman's period and in the weeks after a woman gives birth
(this is called postpartum depression).
Depression is one of the most frequently-studied aspects of chronic pain's impact on psychological
health. Rates for probable depression in pain patients range from
38% to 87%.
Women
with severe cases of depression generally are
hospitalized, and many more are treated for depression
on an outpatient basis. Approximately 19 million American adults
suffer from depression each year, including five million working
women. Depression interferes with the
ability to work, sleep, eat, study, and enjoy activities. Light
therapy appears to be effective for depression during pregnancy,
and may be helpful in the postpartum as well. When medication
is necessary or preferred, conventional antidepressants at standard
doses are as efficacious for postpartum depression as for
depression generally.
Depression
may have been a natural way of contraception during times of starvation
or war.
Unipolar
major depression is the most common psychiatric condition seen
by primary care physicians, and most
epidemiologic studies have shown that it is more prevalent in
women than in men. Depressive disorders affect approximately 20
million American adults each year.
Researchers
have studied depression a great deal, yet women's depression has rarely been
the primary focus. The contexts of women's lives
which might contribute to their depression are not often
addressed by the mental health establishment, which tends to focus
on biological factors.
Biological
danger zones and environmental triggers play a complex and powerful
role in the high rate of depression in women between the ages of 35 and 65.
Women for Women, a panel of female physicians, sponsored by the
American Medical Women's Association, cited certain periods in
a woman's life when her biological makeup combined with external
factors can increase her likelihood of becoming depressed.
Those
with a history of depression any time before their pregnancy--about
one in four--are almost twice as likely to show signs of depression while expecting. The
study reveals troubling under-diagnosis and -treatment of depression
in pregnancy.
About
one in 20 American women who are pregnant or have given birth
in the past 12 months have major depression. When episodes of major and minor depression
are combined, as many as 13 percent of women experience depression.
Factors contributing to depression during or after pregnancy may
include a personal or family history of depression or substance
abuse, anxiety about the unborn child, problems with a previous
pregnancy or birth, and marital or financial problems.
Employed
Korean women in the United States who had higher educational
levels reported significantly less depression than their counterparts who had lower educational
levels.
Denial
is one of the most common responses to clinical depression. Those with
clinical depression suffer from
abnormally low levels of serotonin, and most antidepressant medicines
counteract the disorder by raising serotonin levels.
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